Publication of images is to show a range of possible outcomes from surgery and to help enable future patients in making their own informed decision about whether to consider cosmetic surgery.
In the slightly older patient where there is often a little excess body fat some of this may be deposited in the chest area causing the problem of male breast tissue or gynaecomastia. In this situation liposuction can be a very suitable treatment on its own. It really depends on the proportion of the chest tissue that is fatty compared to the amount that is fibrous or glandular tissue that determines the best procedure to treat this problem. Often if there is a little of both then there will need to be a direct excision of the glandular breast tissue after the liposuction to effectively contour the chest as well as possible. Sometimes this decision will be made during the operation depending on how effective the liposuction has been.
If possible it is better to avoid scars on the chest away from the nipple as these can be visible. However if there is a significant amount of skin excess then this may be necessary too.
In this case only some small 5mm liposuction incisions were needed, leaving only small scars
Mr Oliver will advise you on the type of procedure that will be suitable for you. Especially with gynaecomastia surgery the results may not be perfect but generally some improvement is possible with most patients.
This 50 year old patient underwent surgery to correct longstanding gynecomastia using a combination of liposuction to remove the fatty excess and direct excision of the remaining glandular tissue. A Gortex suture has been used around the nipple areola complex to try an minimise the excess skin that can sometimes result from this type of procedure. Each patient is unique and I will describe the risks, potential complications and benefits of different types of procedure depending on the amount of glandular tissue and skin excess which varies from one case to another.
This patient underwent excision of gynaecomastia tissue using liposuction and excision. 400 grammes of tissue was removed from each side with liposuction and then a small amount of fibrous tissue from behind the nipple area. The results are shown at six weeks.
This patient underwent liposuction to remove 150 mls on the right and 220 mls on the left of fatty gynaecomastia breast tissue. A small disk of fibrous tissue that remained was then excised from under the nipples which have now shrunk to a more masculine appearance. Results are shown at 6 weeks after wearing a surgical vest garment to reduce the swelling.
This patient underwent 300 cc of liposuction from each side followed by excision of a 10g disk of tissue remaining behind the nipple through an incision in the lower part of the nipple/ areolar skin. Combining liposuction and excision is often the preferred method for treating gynaecomastia.
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